DR. William Coleman Fortenberry, DMD
NPI #1417009200 in Madison, Mississippi
Provider Information
- NPI Number
- 1417009200
- Entity Type
- Individual
- Name
- DR. William Coleman Fortenberry, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Apr 22, 2021
Practice Location
- Address
- 7731 OLD CANTON RD STE A
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6115
- Phone
- (601) 853-3565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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